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The Stevens Group

CIHR Team in Children's Pain and Translating Research on Pain in Children (TROPIC) Study

Overview | Objectives | Project Documentation | The Team | Project Supporters | Related Links | Contact 


Start/End Dates: April 2006 - March 2012 (6 years)

"Pain is the most debilitating, perplexing and common symptom reported by Canadians."1,2 Despite advances in pain research, acute procedural pain is not as well managed in paediatric hospital settings as it could be.1,3 The CIHR Team in Children's Pain is a multidisciplinary research team from nursing, medicine, psychology, pharmacy and biostatistics with clinical and research expertise in paediatric pain, research utilization, evidence-based practice, quality assurance, and multiple research methods. 

The team will conduct a novel, integrative, theoretically-based program of three research projects. The three projects are based on the interplay of the key constructs articulated in Kitson's research utilization model: evidence (Project 1); context (Project 2); and facilitation (Project 3). All three Projects will be conducted on 32 medical-surgical and critical care units at eight Canadian paediatric health care institutions.

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Objectives of this study can be broken into three parts of study:

  1. Develop a Canadian Paediatric Pain Research (CPPR) Database to determine current pain practices in children.
  2. Evaluate the influence of organizational context on clinical and process pain outcomes.           
  3. Assess an interactive intervention for increasing translation of paediatric pain research into practice (Evidence-based Practice for Improving Quality - EPIQ) as compared to usual care. 

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Project Documentation

Click on the following links to download related project content:
        Project information pamphlet (*.pdf format, 184 kb)
        Study abstract (*.pdf format, 8 kb)

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The Team

Research nurses: 
(back, left to right): Rainka Joshi, Dorina Tsoller, Deepshikha Wilson, Sandy Taylor, Tara Hatfield, Brenda Martelli, Sylvie Charette, Shelley Lowther, Kathy O'Leary, Laura Abbot
(front, left to right): Janet Yamada, Dr. Bonnie Stevens, Madeline Pasnik

Principal Investigator: 
Dr. Bonnie Stevens

Steering Committee: 
Bonnie Stevens (Chair), Patrick McGrath (Co-Chair), Laura Abbott, Melanie Barwick, Greta Cummings, Carole Estabrooks, Celeste Johnston, Shoo Lee, Andy Willan, Janet Yamada

Standing Committee Chairs:
Drs. Melanie Barwick, Greta Cummings, Celeste Johnston

Project Leads: 
Project 1: Dr. Bonnie Stevens
Project 2: Drs. Carole Estabrooks, Shannon Scott, Greta Cummings
Project 3: Drs. Bonnie Stevens, Shoo Lee, Anne Synnes

Project Directors: 
Laura Abbott, Anne-Marie Adachi and Janet Yamada

Research Nurses:
Gabriel Boisvert, Sylvie Charette, Tara Hatfield, Rainka Joshi, Shelley Lowther, Brenda Martelli, Aileen Nutt, Kathy O'Leary, Sandy Taylor, Dorina Tsoller, Deepshikha Wilson

Administrative Assistant: 
Madeline Pasnik

Database Manager: 
Jasna Grujic-Ciric, CCB

Site Investigators:
BC Children's Hosital,  Vancouver: Drs. Anne Synnes & Fay Warnock
CHEO, Ottawa: Drs. Judy Rashotte & Janice Cohen               
IWK Health Centre, Halifax: Drs. Allen Finley & Margot Latimer
Montreal Children's Hospital, Montreal: Dr. Celeste Johnston & Ms. Christina Rosmus
SickKids, Toronto: Dr. Fiona Campbell
Ste-Justine, Montreal: Dr. Sylvie LeMay
Stollery Children’s Hospital, Edmonton: Dr. Shannon Scott
Winnipeg Children’s Hospital: Doris Sawatzky-Dickson

Advisory Committee: 
Drs. Judith Ritchie, Catherine McCourt, Michael Salter

Download the organizational chart.

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Project Supporters

Funding Agencies: 

CIHR Operating Grant

Participating Institutions/Agencies:

SickKids, Toronto, ON
CHU Sainte-Justine, Montreal, QC
The Montreal Children's Hospital, Montreal, QC
IWK Health Centre, Halifax, NS
Stollery Children's Hospital, Edmonton, AB
Children's Hospital, Winnipeg, MB
BC Children's Hospital, Vancouver, BC
Children's Hospital of Eastern Ontario (CHEO), Ottawa, ON

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Project Manager:
Laura Abbott, laura.abbott@sickkids.ca» Back to top


1Moulin DE, Clark AJ, Speechley M, Morley-Forster PK. Chronic pain in Canada - prevalence, treatment, impact and the role of opioid analgesia. Pain Res Manag 2002;7(4):179-84.

2Sawyer, J., Haslam, L., Robinson, S., Daines, P., Stilos, K. (2008). "Pain prevalence study in a large Canadian teaching hospital." 9(3): 104-112. 

3Yamada, J., Stinson, J., et al. (2008). "A review of systematic reviews on pain interventions in hospitalized infants." Pain Res Manag. 13(5): 413-420.